Individual
JEREMY KEONI MIKIO HEIDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 WIGWAM PKWY, HENDERSON, NV 89074-8162
(702) 547-6971
Mailing address
1060 WIGWAM PKWY, HENDERSON, NV 89074-8162
(702) 547-6971
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-20-137131
NV
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
About Stedi
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